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1558812016
TARA R COULSON
FORT WAYNE, IN
NPI
1558812016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: IN 28214889A)
Enumeration Date
2016-10-19
Last Update Date
2016-10-19
Business Address
-- TARA R COULSON RN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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Mailing Address
-- TARA R COULSON RN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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